564例颅脑损伤的临床诊治  

Clinical diagnosis and therapy of 564 cases with craniocerebral injury

作　　者：程凯敏[1] 黄警锐[1] 

机构地区：[1]重庆市急救医疗中心神经外科,400014

出　　处：《检验医学与临床》2010年第17期1810-1811,1813,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨中、重型颅脑损伤临床救治的最佳措施。方法对564例中、重型颅脑损伤的致伤原因、损伤解剖部位、格拉斯哥评分(GCS)、影像学特征、治疗措施和预后进行统计分析。结果 GOS评分:死亡(Ⅰ)107例(18.97%),植物生存(Ⅱ)18例(3.19%),重残(Ⅲ)96例(17.02%),中残(Ⅳ)201例(35.63%),恢复良好(Ⅴ)142例(25.17%)。结论中、重型颅脑损伤临床救治难度大,病情复杂,致残率和死亡率高。整体治疗水平的提高,需通过基础研究的不断深入和临床实践的不断探索。Objective To investigate the best managements for moderate or severe craniocerebral injuries.Methods The clinical features of 564 moderate or severe craniocerebral injury patients,such as the injured courses,damaged positions,Glasgow coma score （GOS）,imaging characteristics,treatment managements and prognosis,were analyzed statistically.Results GOS showed that 107 cases （18.97%） were dead,18 cases （3.19%） were vegetative state,96 cases （17.02%） were severe disability,201 cases （35.63%） were moderate disability and 142 cases （25.17%） were fairly recovered.Conclusion As the clinical conditions are complicated,and mortality and disability are high,clinical treatments of moderate or severe craniocerebral injuries are very difficult.In order to raising the total treatment levels,laboratory researches and clinical practices need to be emphasized.

关 键 词：颅脑损伤 诊断 治疗 预后 

分 类 号：R651.15[医药卫生—外科学]